说起德州的home birth就想起Big Bang Theory里Sheldon说他的德州老妹：She chose to have a home birth because she wants to live in the stone age and a cave wasn't available.
亲爱的楼主，在美国，Google一下很容易： Yes, OB-GYNs are leaving Texas in increasing numbers due to the state''''s abortion laws: Fear of prosecution Texas''''s abortion ban, which prohibits abortions after a fetal heartbeat is detected, has created fear among doctors. This fear has led to hospitals requiring physicians to consult with staff attorneys when treating complicated pregnancies and miscarriages. Shortage of OB-GYNs By 2030, Texas is expected to have 15% fewer OB-GYNs than needed to meet demand. Many rural areas are already experiencing the effects of this shortage. 按照现在的趋势，预计到2030，就有15%的缺口。怎么在楼主这里，现在已经有45%的人找不到医生了？真有这么大的缺口，大家早就把这些极端议员给选下去，政策也早就已经变了
远翔 发表于 2024-11-15 10:09 亲爱的楼主，在美国，Google一下很容易： Yes, OB-GYNs are leaving Texas in increasing numbers due to the state''s abortion laws: Fear of prosecution Texas''s abortion ban, which prohibits abortions after a fetal heartbeat is detected, has created fear among doctors. This fear has led to hospitals requiring physicians to consult with staff attorneys when treating complicated pregnancies and miscarriages. Shortage of OB-GYNs By 2030, Texas is expected to have 15% fewer OB-GYNs than needed to meet demand. Many rural areas are already experiencing the effects of this shortage. 按照现在的趋势，预计到2030，就有15%的缺口。怎么在楼主这里，现在已经有45%的人找不到医生了？真有这么大的切口，不需要楼主担心，大家早就把这些极端议员给选下去，政策也早就已经变了
这个我知道。楼主说的是有45% 的 county 的孕妇抱怨会越不上妇产科医生。虽然总数的缺口没有那么大，但是医生也都愿意呆在富裕的，人口多的地方。农村的那些county， 本来医生就少，一个county也没有几个。走了一个，就会有好多产妇约不上。 现在ob 的学生也不愿意来德州做residency。
这个我知道。楼主说的是有45% 的 county 的孕妇抱怨会越不上妇产科医生。虽然总数的缺口没有那么大，但是医生也都愿意呆在富裕的，人口多的地方。农村的那些county， 本来医生就少，一个county也没有几个。走了一个，就会有好多产妇约不上。 现在ob 的学生也不愿意来德州做residency。 germanica 发表于 2024-11-15 10:13
你说对了，德州obgyn residency的申请去年就减少了16%，今年估计下降更多 Decreased interest in applying to residency programs The number of OB-GYN resident applicants in Texas dropped 16% last year.
By 2030, Texas is expected to have 15% fewer OB-GYNs than is needed to keep up with demand. Many rural areas are already beginning to feel the effects of these shortages. More than 45% of Texas counties are considered maternity care deserts, meaning there’s no doctor to see during your pregnancy and nowhere to give birth. https://www.texastribune.org/2024/10/08/Texas-obstetrics-gynecology-abortion-survey/#:~:text=By%202030%2C%20Texas%20is%20expected,to%20suffer%2C%E2%80%9D%20he%20said.
远翔 发表于 2024-11-15 10:09 亲爱的楼主，在美国，Google一下很容易： Yes, OB-GYNs are leaving Texas in increasing numbers due to the state''''s abortion laws: Fear of prosecution Texas''''s abortion ban, which prohibits abortions after a fetal heartbeat is detected, has created fear among doctors. This fear has led to hospitals requiring physicians to consult with staff attorneys when treating complicated pregnancies and miscarriages. Shortage of OB-GYNs By 2030, Texas is expected to have 15% fewer OB-GYNs than needed to meet demand. Many rural areas are already experiencing the effects of this shortage. 按照现在的趋势，预计到2030，就有15%的缺口。怎么在楼主这里，现在已经有45%的人找不到医生了？真有这么大的缺口，大家早就把这些极端议员给选下去，政策也早就已经变了
jellynsyrup 发表于 2024-11-15 10:16 你说对了，德州obgyn residency的申请去年就减少了16%，今年估计下降更多 Decreased interest in applying to residency programs The number of OB-GYN resident applicants in Texas dropped 16% last year.
jellynsyrup 发表于 2024-11-15 10:16 你说对了，德州obgyn residency的申请去年就减少了16%，今年估计下降更多 Decreased interest in applying to residency programs The number of OB-GYN resident applicants in Texas dropped 16% last year.
远翔 发表于 2024-11-15 10:09 亲爱的楼主，在美国，Google一下很容易： Yes, OB-GYNs are leaving Texas in increasing numbers due to the state''''s abortion laws: Fear of prosecution Texas''''s abortion ban, which prohibits abortions after a fetal heartbeat is detected, has created fear among doctors. This fear has led to hospitals requiring physicians to consult with staff attorneys when treating complicated pregnancies and miscarriages. Shortage of OB-GYNs By 2030, Texas is expected to have 15% fewer OB-GYNs than needed to meet demand. Many rural areas are already experiencing the effects of this shortage. 按照现在的趋势，预计到2030，就有15%的缺口。怎么在楼主这里，现在已经有45%的人找不到医生了？真有这么大的缺口，大家早就把这些极端议员给选下去，政策也早就已经变了
Tracy Wen Liu，VOA journalist
举个例子：德州施行严格的堕胎禁令之后，怀孕期女性和新生儿的死亡率都大幅上升，许多妇产科医生即OBGYN去别的州工作，现在有45%的德州的郡在怀孕或生育的时候是找不到妇产科医生的。
我的美国出生的白人朋友怀孕时候也很难预约妇产科医生，最终决定在家分娩
Yes, OB-GYNs are leaving Texas in increasing numbers due to the state''''s abortion laws:
Fear of prosecution Texas''''s abortion ban, which prohibits abortions after a fetal heartbeat is detected, has created fear among doctors. This fear has led to hospitals requiring physicians to consult with staff attorneys when treating complicated pregnancies and miscarriages.
Shortage of OB-GYNs By 2030, Texas is expected to have 15% fewer OB-GYNs than needed to meet demand. Many rural areas are already experiencing the effects of this shortage.
按照现在的趋势，预计到2030，就有15%的缺口。怎么在楼主这里，现在已经有45%的人找不到医生了？真有这么大的缺口，大家早就把这些极端议员给选下去，政策也早就已经变了
这个我知道。楼主说的是有45% 的 county 的孕妇抱怨会越不上妇产科医生。虽然总数的缺口没有那么大，但是医生也都愿意呆在富裕的，人口多的地方。农村的那些county， 本来医生就少，一个county也没有几个。走了一个，就会有好多产妇约不上。
现在ob 的学生也不愿意来德州做residency。
感觉现在德州大学 基本上不会对 外州的优秀 女学生有吸引力了
你说对了，德州obgyn residency的申请去年就减少了16%，今年估计下降更多
Decreased interest in applying to residency programs The number of OB-GYN resident applicants in Texas dropped 16% last year.
我猜45%的人抱怨的，是不能及时按照自己预期的时间约上医生，比如验出怀孕，想一个星期之内就看到医生，但available的日子在两个星期后。
主楼里，文字上说。45%的孕妇看不上医生，给人的感觉是整个孕程得不到医疗服务，这是不可能的。这两种概念差别很大。
你完全没有看懂我说的
By 2030, Texas is expected to have 15% fewer OB-GYNs than is needed to keep up with demand. Many rural areas are already beginning to feel the effects of these shortages. More than 45% of Texas counties are considered maternity care deserts, meaning there’s no doctor to see during your pregnancy and nowhere to give birth.
https://www.texastribune.org/2024/10/08/Texas-obstetrics-gynecology-abortion-survey/#:~:text=By%202030%2C%20Texas%20is%20expected,to%20suffer%2C%E2%80%9D%20he%20said.
德州大学本来就很少招外州学生，本州学生高达90%。而且医生的收入远高于东西海岸，所以才这般有恃无恐, 连老百姓投票支持堕胎的机会都没有
你没copy全，再看看是不是不可能。
这些东西很快会被供求关系摆平的 自然波动 就好像比如西雅图人口大膨胀的时候找不到牙医hairdresser ob以后看到其他的ob生意好的不行 又会慢慢愿意去德州了
至于小镇医生 一直以来小镇专科医生都是赚的比大城市多吧？ 我听我老板的老婆说的 她是个breast cancer 手术医生
他们可以雇外国医生来干，像印度人，墨西哥人，还便宜多了。田纳西州不就这么干了吗？
亲爱的川粉，15%也已经很多了，同为女人，能不能对女人好一点。你就想一想如果你的女儿孙女遇到这种情况怎么办
如果本来就有大概30%的缺口呢？
逻辑不对，hairdresser也不会因为理发被抓起来关进监狱，哪个OB会冒着被查封和进监狱的风险去开业，别忘了德州还可以举报
人家怕生到一半碰到需要保大人还是保小孩的时候不知道如何是好好把。保了大人，自己进局子。保小孩有悖良心。这不是供需不平衡的问题。
楼主说的是有45%的county的孕妇在抱怨，而不是全德州孕妇人数的45%；是按照区域面积来计算的，不是按照人口。
你说的很有道理。这些county，或者说郡，应该是处在偏远的小镇，的确可能不会有ob/gyn，因为这是趋势，人口都在往大城市集中。
这和因为abortion law导致的医生的离开，基本上应该是两个问题。而且，这些偏远小镇的居民，更趋向保守，不会去堕胎，在这里行医的医生，不会担心有堕胎的诉讼；反而是大城市堕胎率更高，大城市OB们更担心法律问题。楼主把这两个联系起来，是故意的？
但OB的离开，也的确是个问题。按照预测走下去，再过几年产生15%的缺口，会很成问题。
你学过运筹学就知道了，在供需平衡很脆弱的时候，15%的缺口对供应链产生的震撼远远超过15% 这个看上去很小的数字。
你说保守的county的人不会堕胎？别忘了佛州公投支持堕胎和反对堕胎的人是 57%：43%，大多数人都是希望可以堕胎的。而且医生根本不需要刻意进行堕胎，任何给孕妇治疗的过程中都有发生流产的风险，那么医生就根本说不清，就可能坐牢。你要是一个上有老下有小的医生为什么会冒这种风险，最好的办法就是根本不接诊孕妇。
勇者胜呗 总还是有因为各种原因愿意去德州的ob 申请去德州的ob少了，但是也不是0，对吧？
这些人在供小于求的时候可以要求医院开高工资 或者很容易去到自己想去的医院 或者自己开业的可以更低成本的更容易接到病人 时间长了供给就又上来了
反正大家都是用脚投票呗 医生病人都是。。。